Homeland Security Exercise and Evaluation Program EXPLAN

Homeland Security Exercise and Evaluation Program EXPLAN

Homeland Security Exercise and Evaluation Program EXPLAN PREFACE This Exercise Plan (EXPLAN) is designed to aid exercise planners in the design and implementation of an effective exercise. An EXPLAN also enables exercise participants to understand their roles and responsibilities in exercise planning, execution, and evaluation. This EXPLAN was produced by the Colorado Department of Public Health and Environment (CDPHE) Emergency Preparedness and Response Division (EPRD) with input, advice, and assistance from public health regional staff in all nine of the Colorado All-Hazards Emergency Management Regions. This EXPLAN follows guidance set forth in the Federal Emergency Management Agency (FEMA), Homeland Security Exercise and Evaluation Program (HSEEP). The information in this document is current as of the publication date, October 22, 2007, and is subject to change as dictated by the CDPHE EPRD Exercise Planning Team. Preface i For Official Use Only

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN ADMINISTRATIVE HANDLING INSTRUCTIONS 1. The title of this document is POD Squad Mass Vaccination Full Scale Exercise Plan (EXPLAN). 2. This document is For Official Use Only (FOUO) and should be handled as sensitive information. This document should be safeguarded, handled, transmitted, and stored in accordance with appropriate security directives. Reproduction of this document, in whole or in part, without prior approval from the Colorado Department of Public Health and Environment s Emergency Preparedness and Response Division is prohibited. 3. For more information, please contact a member of the CDPHE EPRD Exercise Planning Team: Exercise Director: Diana Harris Pandemic Preparedness Manager diana.harris@state.co.us 303-692-2677 Lead Controller: Nicole Sangouard Regional Planning Coordinator nicole.sangouard@state.co.us 303-692-2971 Lead Evaluator: Dana Erpelding Training Manager dana.erpelding@state.co.us 303-692-2679 Deputy Lead Evaluator: Phyllis Bourassa Public Health Training Coordinator phyllis.bourassa@state.co.us 303-692-2665 Administrative Handling Instructions ii For Official Use Only

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN TABLE OF CONTENTS Preface... I Administrative Handling Instructions... II Table Of Contents... III Part 1: General Information... 1 INTRODUCTION... 1 CONFIDENTIALITY... 1 PURPOSE... 1 TARGET CAPABILITIES... 2 EXERCISE GOALS AND OBJECTIVES... 2 Part 2: Exercise Summary And Logistics... 3 SCOPE OF PLAY... 3 EXERCISE SCHEDULE... 3 PUBLIC INFORMATION CAMPAIGN... 12 Part 3: Player Guidelines... 7 PLAYER INSTRUCTIONS... 8 EXERCISE RULES... 9 EXERCISE SAFETY... 10 EXERCISE SETUP... 11 COMMUNICATIONS... 13 Part 4: Evaluation And Post Exercise Activities... 14 EXERCISE DOCUMENTATION... 14 HOT WASH... 14 Appendices... 16 EXERCISE SCENARIO... 17 Table of Contents iii For Official Use Only

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN PART 1: GENERAL INFORMATION Introduction The POD Squad Mass Vaccination Exercise is a full-scale exercise (FSE) is designed to bring players from multiple disciplines throughout Colorado together to exercise state, regional and local Strategic National Stockpile (SNS) and Points of Dispensing (POD) plans, policies and procedures. Confidentiality POD Squad is an unclassified exercise. All exercise participants should ensure the proper control of exercise information within their areas of expertise and protect this material in accordance with CDPHE EPRD directives. Public release of exercise materials to third parties is at the discretion of the Federal Emergency Management Agency (FEMA) and the CDPHE EPRD Exercise Planning Team, and Regional Exercise Points of Contact only. This EXPLAN may be viewed by all exercise Participants, however, the Controller and Evaluator (C/E) Handbook is a restricted document intended for Controllers and Evaluators only. Purpose The purpose of this EXPLAN is to provide Participants (Players, Controllers, Evaluators, and Observers) from appropriate agencies and organizations with information on the 2007 CDPHE POD Squad Full Scale Exercise including: general information, roles and responsibilities, communication guidelines and other protocols required during exercise play, and clarification on assumptions, artificialities, and/or simulations. This EXPLAN is based on planning factors and estimates available at the time of preparation and is subject to modification during final exercise planning and preparation. The Player Handbook and the Controller and Evaluator (CE) Handbook complement this EXPLAN. The Player Handbook provides guidance to players while the CE Handbook provides guidance for conduct of the exercise for Controllers and Evaluators. Background The CDPHE EPRD recognizes its responsibility to help protect the public from, and mitigate the consequences of, natural and man-made public health emergencies. With this responsibility in mind, the CDPHE EPRD has developed response plans, protocols, and procedures to respond to public health incidents and has identified a need to conduct exercises testing these protocols and plans. This will be the first full-scale exercise conducted by the CDPHE EPRD Exercise Planning Team. In addition to several county Regional Transfer Point (RTP) and POD exercises conducted at the regional and local level, three statewide exercises led up to the culmination of POD Squad: 1. 2005 Functional Exercise Fowl Play 2. 2006 Advanced Tabletop Squawk Talk (October 2006) 3. 2006 Functional Exercise Squawk Talk (December 2006). These exercises tested state and local Department Operations Center (DOC) operations, Receipt, Store and Stage (RSS) warehouse functions, and interoperable communication capabilities of state and local public health agencies with multiple response partners during a simulated public health emergency. POD Squad will test corrective actions that were identified during these three exercises. 1

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Training provided prior to the 2007 POD Squad Exercise includes: Homeland Security Exercise and Evaluation Program (HSEEP) Training August 20, 2007 Points of Dispensing (POD) Training August 21-22, 2007 Internal CDPHE DOC Trainings June-October 2007 Exercise Briefing November 6, 2007 Controller and Evaluator Training November 6, 2007 Target Capabilities The purpose of this exercise is to measure and validate performance of the following target capabilities and their associated critical tasks: 1. Mass Prophylaxis 2. Emergency Public Information and Warning 3. Medical Supplies Management and Distribution 4. Emergency Operations Center Management Exercise Goals and Objectives The goal for the 2007 CDPHE POD Squad Full-Scale Exercise is to coordinate, manage, operate, and support a statewide mass vaccination Point of Dispensing (POD) exercise in Colorado to prepare for a potential influenza pandemic by evaluating the state and local public health capacity to perform the following measurable objectives: State Health Department (CDPHE): Establish and maintain incident command at the CDPHE Department Operations Center (DOC). Establish and maintain timely and accurate communication with the State Emergency Operations Center, local public health agencies, and media. Establish, maintain and communicate statewide situational awareness for pharmaceuticals, volunteers and other resource needs. Evaluate the ability of the RSS and RTP staff to obtain, transport, distribute, maintain and track flu vaccine supplies in accordance with SNS plans prior to an event. Establish and maintain incident command at the CDPHE mass vaccination exercise site per organizational charts, protocols and procedures established by the CDPHE Immunization Program. Develop, coordinate, and disseminate accurate alerts and emergency information to the media and the public during an emergency. Local Public Health Agencies (LPHAs): Obtain and maintain flu vaccine supplies and transport, distribute, and track these medical assets during an incident according to the state s Strategic National Stockpile (SNS) plan (applicable only to LPHAs opening a Regional Transfer Point on November 16, 2007) Establish and maintain Incident Command at the Point-of-Dispensing (POD) site per organizational charts, protocols and procedures established in the LPHA POD plan. Set up, operate and break-down a POD per protocols and procedures established in LPHA POD plan Establish and maintain timely and accurate communication with the CDPHE, local partners, the public, and the media, as applicable. 2

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN PART 2: EXERCISE SUMMARY AND LOGISTICS Scope of Play POD Squad is full-scale exercise of limited duration the exercise will take place over approximately 15 hours throughout three consecutive days: November 15, 16, and 17, 2007. Exercise play will begin at approximately 11:00 am on Thursday November 15, 2007 with the initiation of a pandemic influenza scenario in Colorado (see Appendix A). All exercise play will be in accordance with established state and local plans and procedures. The Exercise Director will begin and end exercise play each day based on the completion of operational goals and attainment of the exercise objectives. November 15, 2007 CDPHE will be testing its prophylaxis capabilities by opening a POD at the CDPHE. CDPHE staff, and select first responders will be vaccinated with influenza vaccine during a predetermined 2-hour period. November 16, 2007 CDPHE will activate a Denver metro area Receipt Store and Staging (RSS) warehouse facility to test the movement of medical assets (surplus influenza vaccine from the November 15 CDPHE POD) from the RSS to three Regional Transfer Points (RTPs) within Colorado. This portion of the exercise will test the ability for state and local public health to effectively and efficiently pack, transport, receive, and store critical medical assets during an emergency and will test communications during this process. The Colorado National Guard will be transporting the vaccine by Blackhawk Helicopter from Denver to two of the RTPs one RTP in the Southeast Region and one RTP in the San Luis Valley Region. Vaccine will be delivered to the South Central Region via ground transportation using a carrier that has a memorandum of understanding (MOU) with CDPHE. November 17, 2007 Twenty-eight local public health agencies (LPHAs) will conduct Points-of-Dispensing (PODs) operations throughout the state (see Appendix B). LPHAs will test and critique their local POD plans and will be expected to maintain communication, provide situational reports, and utilize proper request protocols with their RTP point of contact and their assigned Regional Liaison at the CDPHE DOC throughout the duration of POD Squad. The CDPHE DOC will be activated to coordinate local response, situational awareness information, and communication during a simulated pandemic influenza outbreak in which limited doses of vaccine have been made available to the public. Exercise Schedule Exercise play will begin with a situation update going to each participating venue. Play will proceed according to the events outlined in the MSEL and in accordance with established plans and procedures. The exercise will conclude upon the completion of operational goals and attainment of the exercise objectives, as determined by the Exercise Director. 3

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Time Personnel Activity Location November 6, 2007 1000-1100 All Players Exercise Briefing CDPHE DOC and Web Conference 1300-1400 All Controllers, Evaluators, CDPHE EPRD Exercise Planning Team ONLY Controller and Evaluator Training November 15, 2007 0830 CDPHE EPRD Exercise Planning Team CDPHE DOC and Web Conference Set up SIMCELL CDPHE 5 th Floor - Boardroom 0900 Select CDPHE Exercise Staff Setup CDPHE POD exercise site CDPHE 1 st Floor DOC, DOC Training, Snow and Carson 1000 CDPHE POD Players, Evaluators, and Exercise Staff Check In 1100 All CDPHE POD Players Exercise Play Start (STARTEX) CDPHE 1300 All CDPHE POD Players Exercise Play End (ENDEX) CDPHE CDPHE 1 st Floor- Snow Room 1300 Select CDPHE staff RSS badging CDPHE DOC Training Immediately following ENDEX All CDPHE POD Players Hotwash CDPHE DOC November 16, 2007 0630 Select CDPHE staff Setup of RSS exercise site RSS Site (confidential) 0700 Select CDPHE Staff, National Guard, RSS and RTP players, Controllers and Evaluators 0700 RSS and RTP Players, Controllers and Evaluators Exercise Play Start (STARTEX) Check In and Participant Briefing 0900 Colorado National Guard National Guard loads vaccine, takeoff from Buckley AFB 1400 All RSS, RTP, National Guard, Players, Controllers and Evaluators Immediately following ENDEX All RSS, RTP, National Guard, Hotwash Players, Controllers and Evaluators November 17, 2007 Exercise Play End (ENDEX) RSS and RTP sites in SER, SLV, SCR RSS Site Buckley AFB RSS and RTP sites in SER, SLV, SCR CDPHE DOC and Teleconference 0730 Select DOC and POD Exercise Staff Setup of exercise site CDPHE DOC, 26 POD sites 0830 CDPHE select staff, DOC, all PODs, Evaluators, Controllers Exercise Play Start (STARTEX) CDPHE DOC, 26 POD sites 1230 All Exercise Play End (ENDEX) CDPHE DOC, 26 POD sites Immediately following ENDEX All (at a minimum, all POD and DOC Hotwash Controllers must participate in CDPHE Hotwash) November 28, 2007 1300-1400 All Controllers, Evaluators, CDPHE EPRD Exercise Planning Team Controller and Evaluator Debriefing December 14, 2007 NA POD Evaluators Top 3 Strengths and top 3 Areas of Improvement due to CDPHE CDPHE DOC and Teleconference CDPHE DOC and Teleconference NA 4

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Exercise Tools Player Handbook The Player Handbook is a culmination of documents, including resource request protocols, guidelines, and operational procedures that will all be utilized for the exercise. Exercise Participants need to familiarize themselves with these documents and understand their meanings and their functions. Controller and Evaluator (C/E) Handbook The POD Squad C/E Handbook contains detailed materials, procedures, and guidance, enabling Controllers and Evaluators to effectively conduct and evaluate the exercise. The handbook also enables Controllers and Evaluators to understand their roles and responsibilities in exercise execution and evaluation. Should a player, observer, or media representative find an unattended handbook, they should not read it, rather they should hand the book over to the nearest Controller or Evaluator without reading its contents. Master Scenario Events List (MSEL) The MSEL outlines benchmarks and injects that drive exercise play. The MSEL provides realistic input to the Exercise Players as well as information expected to originate from simulated organizations (i.e., those nonparticipating organizations, agencies, and individuals who would usually respond to the situation). An inject will include several items of information, such as inject time, intended recipient, responsible Controller, inject type, a short description of the event, and the expected Player action. The actions of participating agencies will be in response to events outlined in the MSEL. The basis for actions in the operations centers will be a combination of existing department procedures and directives as well as additional tasks and skills acquired during training. Therefore, the MSEL is limited in scope, serving as a catalyst for initial actions and as a list of projected operational milestones. The MSEL allows the exercise control staff to ensure the exercise stays on track and objectives are met. The Exercise Director and the Lead Controller may identify additional actions or adjustments required during the exercise to guide play to ensure these objectives are met. For a list of participating agencies, please see Appendix C. Assumptions, Artificialities and Simulations Assumptions. The following general assumptions apply to POD Squad: Real world response actions will take priority over exercise actions. The exercise will be conducted in a no-fault learning environment wherein systems and processes, not individuals, will be evaluated. Exercise simulation will be realistic and plausible, containing sufficient detail from which to respond. Exercise players will react to the information and situations as they are presented, in the same manner as if this had been a real event. The term Participants includes Players, Controllers, Evaluators, Observers, and Exercise Control Cell. Players will respond in accordance with existing plans, policies, and procedures. In the absence of appropriate written instructions, Players will be expected to apply individual initiative to satisfy response requirements. Players will have completed necessary training and received appropriate preparatory documents such as the EXPLAN, Player Handbook, Controller and Evaluator Handbook and the Full-Scale 5

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Exercise Briefing. In addition, CDPHE staff will attend and review the CDPHE DOC training materials. Artificialities. The CDPHE EPRD Exercise Planning Team acknowledges that the following artificialities and constraints will detract from realism; however, Participants should accept these artificialities as a means of facilitating accomplishment of exercise objectives: Exercise communication and coordination will be limited to the participating exercise venues and the Simulation Cell (SIMCELL). Many Local Public Health Agencies (LPHAs) are only playing for a few hours on the morning of November 17. Some communication to and/or from these agencies may continue through the SIMCELL once the LPHA time of play has expired. The timeline for this exercise has been compressed. The exercise planning team acknowledges that an actual pandemic influenza outbreak would take place over an extended period of time, request and receipt of SNS supplies will take longer than 24-hours; and POD operations will need to continue for longer than a four hour period in an real event. CDPHE will perform a call down of certain CDPHE staff to activate the CDPHE DOC prior to the start of the exercise. Some information will be given to all Players at the same time. Simulations. Simulation is required to compensate for nonparticipating individuals or organizations. Although simulations detract from realism, they provide the means to facilitate exercise play. The SIMCELL will play non-participating agencies that would typically be involved in a real response to a pandemic influenza outbreak. RTP Operations will be simulated on November 17, 2007. The planning Regional Exercise Point of Contact (or one that is designated from a Region that has multiple) is responsible for being the RTP Representative on November 17 th from 8:30am to 12:30 pm. 6

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN PART 3: PLAYER GUIDELINES Exercise Participants The following are the categories of participants involved in this exercise; note that the term Participant refers to all categories listed below, not just those playing in the exercise: Exercise Director. The Exercise Director has the overall responsibility for planning, coordinating, and overseeing all exercise functions. The Exercise Director manages the exercise activities and maintains a close dialogue with the Lead Controller regarding the status of play and the achievement of the exercise design objectives. The Exercise Director also runs the Exercise Hotwash at the conclusion of the exercise. Lead Controller. The Lead Controller is responsible for the overall organization of POD Squad and takes direction from the Exercise Director. The Lead Controller monitors exercise progress and coordinates decisions regarding deviations or significant changes to the scenario caused by unexpected developments during play. The Lead Controller monitors actions by individual Controllers and ensures they implement all designated and modified actions at the appropriate time. The Lead Controller debriefs the Controllers and Evaluators after the exercise and oversees the setup and takedown of the exercise. Controllers. Controllers set up and operate the exercise site; plan and manage exercise play; and act in the roles of response individuals and agencies not playing in the exercise. Controllers direct the pace of exercise play and routinely include members from the exercise planning team. They provide key data to players and may prompt or initiate certain player actions to ensure exercise continuity. Controllers may employ compressed time to ensure exercise continuity and completion. All Controllers will be accountable to the Lead Controller. Controllers at each POD site will have limited decision-making authority. Any changes that impact the scenario or affect other areas of play must be coordinated through the Lead Controller, who will coordinate with the Exercise Director in the SIMCELL. Controllers at the POD sites will manage exercise play by following the direction set by the MSEL and by prompting or initiating actions in the form of injects to keep players on track during the exercise. All Controllers are required to attend the Hotwash at the end of exercise play on November 16 (applicable only to LPHAs opening a Regional Transfer Point) and November 17, 2007. Controller duties are further detailed in the Controller and Evaluator Handbook. Evaluators. Evaluators are chosen from various agencies at the state and local level to evaluate and comment on designated functional areas of the exercise. Evaluators should be assigned to review functional area(s) during the exercise based on their expertise and their familiarity with local emergency response procedures. Evaluators assess and document participants performance against established emergency plans and exercise evaluation criteria, in accordance with HSEEP standards. Evaluators have a passive role in the exercise and only note the actions of players; they do not interfere with the flow of the exercise. Evaluators work as a team with Controllers and should not interact with players during exercise play. Evaluators will record events in their assigned Exercise and Evaluation Guides (EEGs) and ensure documentation is submitted for 7

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN review and inclusion in the After Action Report (AAR) and Improvement Plan (IP). Players. Players actively respond to the simulated emergency and perform their regular roles and responsibilities during the exercise. Players initiate actions that will respond to and mitigate the simulated emergency. Simulators. Simulators are personnel who role-play as non-participating organizations or individuals. They most often operate out of the SIMCELL, but may occasionally have face-toface contact with players. Simulators enact roles in accordance with instructions provided in the Master Scenario Events List (MSEL). All simulators are accountable to the Exercise Director and Lead Controller. One public health emergency preparedness regional planner, epidemiologist or trainer in each of the nine All-Hazards regions will be responsible for simulating the Regional Transfer Point (RTP) Warehouse Manager. Communications to and from the RTP simulators are outlined in Appendix D. Observers. Observers visit or view selected segments of the exercise. Observers do not play in the exercise, and do not perform any control or evaluation functions. Observers will view the exercise from a designated observation area and will be asked to remain within the observation area during the exercise. Observers may view all or selected portions of exercise play at various sites during POD Squad but are not allowed to interfere with exercise play. For POD Squad, we are requesting that all observers register on CO.TRAIN at the specific site they wish to observe. Media. Some media personnel may be present as observers pending approval by CDPHE and/or the LPHA personnel in charge of the POD site. Media interaction may also be simulated by the SIMCELL to enhance realism and meet related exercise objectives. Any media personnel that will be attending the exercise will be asked to stay in the designated observer areas of the POD and/or the CDPHE DOC, as applicable. Local PODs are encouraged to take into consideration the possible arrival of media personnel during the POD Squad exercise. Thanks to the What If Media campaign, many local jurisdictions will have maintained communication with their local media outlets to let the local general public know about the POD Squad exercise. Support Staff. Exercise support staff includes individuals who are assigned administrative and logistical support tasks during the exercise (i.e. registration, catering, etc.). VIP Staff: Governor Ritter and members of the Governor s Office will be observing a POD operation in Denver and may visit the CDPHE DOC on November 17, 2007. Player Instructions Before the Exercise Review the appropriate emergency plans, procedures, and exercise support documents. Be at the appropriate site at least 30 minutes before the start of the exercise. Wear appropriate clothing and identification per agency requirements. If you gain knowledge of the scenario before the exercise, notify a Controller so that appropriate actions can be taken to ensure a valid evaluation. 8

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Please sign in before the start of the exercise and receive appropriate materials including vests, supplies, Job Action Sheets (JAS), etc. During the Exercise Respond to the exercise events and information as if the emergency were real, unless otherwise directed by a Controller. Controllers will only give you information they are specifically directed to disseminate. You are expected to obtain other necessary information through existing emergency information channels. Do not engage in personal conversations with Controllers, Evaluators, Observers, or Media personnel while the exercise is in progress. If you do not understand the scope of the exercise or if you are uncertain about an organization s or agency s participation in an exercise, ask a Controller. Parts of the scenario may seem implausible. Recognize that the exercise has objectives to satisfy and may require the incorporation of unrealistic aspects. Note that every effort has been made by the Exercise Design Team to balance realism with safety and the creation of an effective learning and evaluation environment. All exercise communication will begin and end with the phrase This is an exercise. This is a precaution taken so anyone overhearing the conversation will not mistake the exercise play for a real-world emergency. When communicating with the SIMCELL, identify the organization, agency, office, and/or individual with which you want to speak. Verbalize out loud when taking an action. This will ensure that Evaluators are made aware of critical actions as they occur. Maintain a log of your activities. Many times, this log may include documentation of activities missed by a Controller or Evaluator. Follow required procedures and protocols for Resource Requests, reporting, and communications. Following the Exercise At the end of the exercise at your facility, participate in the Hotwash with the Controllers and Evaluators. Complete a participant feedback and/or evaluation form. This will allow you to comment candidly on emergency response activities and effectiveness of the exercise. Please provide the completed form to a Controller or Evaluator. Provide any notes or materials generated from the exercise to your Controller or Evaluator for review and inclusion in the AAR. The top three strengths and top three areas of improvement will need to be sent from your local EEGs to CDPHE by December 14 th, 2007 to be incorporated into the CDPHE AAR.. Local agencies are still encouraged to complete and post their own AARs for POD Squad. A coldwash will be conducted in the weeks following POD Squad. Exercise Rules The following rules of play apply to all exercise participants: Real emergencies take priority over exercise activities. State the phrase, Real-World Emergency, in the event of a real emergency requiring immediate attention that may or may not stop exercise play. 9

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN In the event of a real emergency, Controllers at the exercise site(s) will immediately suspend exercise play and notify the Exercise Director and Lead Controller who will decide if the exercise can be safely resumed. All verbal and written exercise communication must begin and end with the words, This is an exercise. Exercise Players communicating with the SIMCELL must identify the organization, agency, office, or individual with whom they wish to speak. If a player gains knowledge of the exercise scenario prior to the exercise, they must notify an exercise Controller so appropriate actions can be taken to ensure a valid evaluation. It is the responsibility of each Player to read the appropriate materials prior to the exercise. If a player is uncertain about the exercise scope, they should ask a Controller. If parts of the scenario seem implausible, please withhold criticism and recognize that the exercise has objectives that must be satisfied and may require actions and/or assumptions that may not be as realistic as we would like. Provide your feedback during the Hotwash. Players should not engage in conversations with Evaluators, Observers, Controllers, and the Media. Act as if simulated hazardous conditions are real. Adhere to all usual health protection controls for the simulated hazard(s) presented by the exercise scenario, in this case, pandemic influenza. Controllers will only give you information they are specifically designated to disseminate from their assigned functional area. You are expected to obtain other necessary information through existing emergency information channels. Exercise Safety During the POD Squad exercise, safety is paramount. Participant safety takes priority over exercise events. Although the organizations involved in the POD Squad exercise come from various response agencies, they all share the responsibility for ensuring a safe environment for all personnel involved in the exercise. The following general requirements apply to the exercise: A Safety Officer should be identified at each DOC/EOC, RSS/RTP, and POD site to ensure participant safety. All players are responsible for stopping exercise play if, in their opinion, a real safety problem exists. Once the problem is corrected, exercise play can be restarted. Any safety concerns must be immediately reported to the Controller on site. The Controller who is made aware of a real emergency will immediately contact the Lead Controller and/or the Exercise Director via phone to report a Real-World Emergency, and will provide the following information: o Name and contact information o Name and location of RSS/RTP or POD site o Nature of Emergency If the nature of the emergency requires a suspension of the exercise at the venue/function, all exercise activities at that facility will immediately cease. Exercise play may resume at that facility once the situation has been addressed. Exercise play at other venues should not cease if one facility has declared a Real-World Emergency unless they are reliant on the affected venue. If a real emergency occurs that affects the entire exercise, the exercise may be suspended or terminated at the discretion of the Exercise Director and Lead Controller. The notification of the interruption in play will be made from the SimCell. 10

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN All organizations will comply with their respective environmental, health, and safety plans and procedures, as well as the appropriate Federal, State, and local environmental health and safety regulations and procedures. Take weather conditions into account during the exercise. November in Colorado means that weather conditions will vary throughout the state. Ensure that all exercise participants and members of the general public are kept safe from inclement weather. The CDPHE DOC will assign a safety officer for the duration of POD Squad exercise. The Glendale Police Department will be briefed on safety issues associated with the activation of the CDPHE DOC prior to the execution of POD Squad. Local public health agencies opening a POD are encouraged to have a safety officer and/or a law enforcement representative present in their PODs throughout the duration of the exercise to ensure safety and security is maintained for POD Staff and the general public. Additional safety concerns need to be addressed at each POD site including (at a minimum): Proper Personal Protective Equipment (PPE) should to be worn at all times by staff handling and/or administering influenza vaccine in the POD Used needles and other biohazard materials be handled and disposed of properly, in approved biohazard containers. Exercise Setup Exercise setup involves the pre-staging and the distribution of exercise materials; including registration materials, documentation, and other equipment as appropriate. LPHAs should brief exercise participants about their own site-specific logistics similar to those listed below. The information currently reflected in this document is specific to the CDPHE DOC. Site Access and Security Access to the exercise sites and to the SIMCELL will be limited to exercise Participants only. Players should advise their Controller or Evaluator if an unauthorized person is present. Each organization should follow their internal security procedures, augmented as necessary, to comply with exercise requirements. CDPHE building operations will provide security to the CDPHE Main Campus Building A (site of CDPHE DOC and POD) on November 15-16, 2007. The Glendale Police Department will provide perimeter security to the CDPHE main campus on November 17, 2007. CDPHE EPRD staff will monitor and control entry access into the DOC on November 15-17, 2007. Only authorized personnel will be permitted access into the CDPHE DOC. The assigned DOC Safety Officer will be responsible for maintaining the integrity and safety of the DOC during exercise play and will be responsible for security requirements that may arise during POD Squad play. CDPHE DOC staff will be granted special access to enter the CDPHE facility after-hours and on the weekend. Observer Coordination Each organization with Observers will coordinate with CDPHE to access the CDPHE POD, RSS and/or DOC facilities. Organizations with Observers at the LPHA PODs must coordinate with the LPHA in charge of the POD to access the exercise site. Observers will be escorted to an observation area for orientation and conduct of the exercise. All Observers will be asked to remain within the designated observation area during the exercise. CDPHE or LPHA representatives and/or the site s designated Controller will be present to explain the exercise program and answer questions for the Observers during the exercise. 11

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Public Affairs Special attention must be given to the needs of the media, allowing them to get as complete and accurate a story as possible while ensuring their activities do not compromise the exercise realism, safety, or objectives. CDPHE and participating local public health agencies are responsible for disseminating public information in advance of the POD Squad exercise. CDPHE will coordinate this function by means of the What If? Colorado public information campaign: What If? Colorado Public Information Campaign The CDPHE EPRD developed a statewide media campaign titled "What If? Colorado" to inform citizens about pandemic influenza, increase the number of Coloradans who receive seasonal influenza vaccinations, and encourage residents to assemble emergency preparedness kits for their homes. The "What If? Colorado" campaign is scheduled to take place from July-December 2007. One component of the campaign is to inform and encourage the general public to assist in testing Colorado's mass vaccination plans in the event of a pandemic influenza outbreak. The "What If? Colorado" campaign will be used to communicate exercise dates, locations and objectives to the general public via public service announcements on television, in newspapers, on the radio and online. Members of the public can also find exercise locations in their community using the campaign website, www.whatifcolorado.com or from the toll free Colorado Help Line, 1-877-462-2911, which provide information in both English and Spanish. CDPHE will be disseminating a press release to Colorado media contacts on Monday, November 12, 2007 to inform the public and the media of the exercise on November 17 and will be sending out a press release at the conclusion of the exercise on Saturday, November 17, 2007. Parking and Directions Parking will be available in the CDPHE Main Campus parking lot (CDPHE POD and DOC location) and at the RSS facility (all RSS Participants will be pre-identified and provided with parking and other logistical information individually). Parking information and directions to each POD site can be obtained by contacting the responsible LPHA. Refreshments and Restroom Facilities Restroom facilities and refreshments will be provided at each venue for all exercise participants. Lunch will be provided at the CDPHE DOC on November 15, 2007 for immunization staff and on November 17, 2007 for CDPHE DOC staff. No lunch will be provided to exercise participants on November 16, 2007. Exercise Identification Identification badges and/or vests will be issued to exercise staff. All exercise Participants and Observers will be identified by agency uniforms or identification badges/vests distributed by the exercise staff at each venue. Simulation Cell (SIMCELL) The SIMCELL will simulate activity for non-playing entities, as applicable. SIMCELL operations will receive player information and, where applicable, direct the injection of selected core events during the exercise. The SIMCELL will be staffed during all three days of POD Squad to ensure the running of the 12

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN exercise maintains a timely efficient pace. Cleanup and Restoration The CDPHE DOC will be deactivated and restored to a state of readiness after the official end time of the POD Squad exercise at 12:30 pm on November 17, 2007. Communications Exercise Start, Suspension, and Termination Instructions From the SIMCELL, the Exercise Director will announce the start and end of the exercise via email, phone, fax or radio. All spoken and written communication will start and end with the statement, This is an exercise. Before the start of the exercise, the SIMCELL will conduct a communication check with all interfacing communication means to ensure redundancy and uninterrupted flow of control information. Player Communication Players are to use routine methods for communication and/or other methods for communications as outlined in the county s Points of Dispensing (POD) plans. Each venue will coordinate its own internal communication networks and channels. The need to imitate a real-world response may preclude the use of certain communication channels or systems that might otherwise be available. Exercise communication should never interfere with real-world emergency communications. The primary means of communication among the SIMCELL, Controllers, CDPHE DOC, and POD sites will be email, phone, fax and radio. A list of key telephone and fax numbers, and radio call signs in addition to additional communication information and protocols for POD Squad is included in Appendix D. Controller Communications The principal method of communications for Controllers during the exercise will be designated cellular and/or landline phone numbers. All exercise Controllers must have access to a cellular and/or landline phone that will enable them to communicate control information to other exercise Controllers and to the SIMCELL. Alternative or backup communications for Controllers will be via the Internet. Controller communications will link control personnel at all play areas and will remain separate from the player communications. In no case will Controller communications interfere with, or override, player communications. Player Briefing Controllers may be required to read specific scenario details to the Participants to begin exercise play. They may also have technical handouts or other materials to give to Players in order to better orient them to the exercise environment. Controller and Evaluator Orientation Briefing A comprehensive Controller/Evaluator (C/E) Briefing will be conducted on November 6, 2007. All Controllers and Evaluators are required to attend this session, plus any specialized training required, to learn all assigned responsibilities. This is also the time for the C/E teams to get acquainted and address any issues that might arise during the exercise. 13

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN PART 4: EVALUATION AND POST EXERCISE ACTIVITIES Exercise Documentation POD Squad is designed to exercise and evaluate the state Strategic National Stockpile (SNS) plan and procedures and local public health agency Point of Dispensing (POD) plans and capabilities as they pertain to a potential pandemic influenza incident. After the exercise, data will be collected by Controllers, Evaluators, and the SIMCELL and will be used to identify strengths and areas for improvement in the context of the exercise design objectives. This exercise enables Participants to assess current response capabilities to a public health incident, to identify strengths and weaknesses, and to identify future training needs. POD Squad will focus on critical decisions, communication and coordination between the state and local public health agencies necessary to respond to a simulated pandemic influenza event. Evaluators will be positioned at all of the Points of Dispensing (POD) sites, the CDPHE DOC, statewide RTP sites, and any activated EOC locations statewide to assist in the overall identification of areas of improvement to be addressed in the Improvement Plan. Exercise Evaluation Guides DHS has developed Exercise Evaluation Guides (EEGs) that identify expected activities for evaluation, provide consistency across exercises, and link individual tasks to disciplines and expected outcomes. The EEGs selected by the CDPHE EPRD exercise planning team are contained in the C/E Handbook and will be provided to each Evaluator to assist in capturing the highlights of exercise play at each EOC/DOC, RSS/RTP, and POD location. These EEGs have been selected because the activities they describe will be observed during the exercise and will guide evaluation to match the exercise design objectives. Hot Wash After the November 17 th portion of POD Squad, CDPHE EPRD Exercise Design Committee will conduct a brief Hotwash that should not last more that 30 minutes. During this Hotwash, one Controller from each of the 28 POD sites must call in and provide local exercise information. POD operations may continue after the official exercise has ended at 12:30 PM. Controllers at each POD site can continue to facilitate a Hotwash after the CDPHE call with players from their assigned location. The Hotwash is an opportunity for players to voice their opinions on the exercise and their own performance. At this time, Evaluators can also seek clarification on certain actions and what prompted players to take such actions. The Hotwash Evaluators should take notes during the Hotwash and include these observations in their analysis. Each local POD is responsible for holding its own Hotwash after the deactivation of the POD on November 17, 2007. LPHAs are responsible for recording strengths and gaps identified during the Hotwash session to be incorporated into their local After Action Report (AAR) and Improvement Plan (IP). CDPHE is requesting that each POD site send the top three strengths and top three areas of improvement to CDPHE to be incorporated into the state AAR and IP. 14

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Coldwash / Controller and Evaluator Debriefing Controllers, Evaluators, Exercise Regional Points of Contact, and CDPHE EPRD exercise planning team staff will attend a facilitated Controller and Evaluator Debriefing / Coldwash via conference call on November 28, 2007 from 1:00-2:00 pm. During the debriefing these individuals will discuss their observations of the exercise in an open environment to clarify actions taken during the exercise. Evaluators should take this opportunity to complete their EEGs for submission to the lead Evaluator as well as begin the analysis process outlining the issues to be included in the AAR. After Action Report (AAR) The AAR is a written report outlining the strengths and areas for improvement identified during the POD Squad exercise. The AAR will include the timeline, executive summary, scenario description, mission outcomes, and capability analysis. The AAR will be drafted by a core group of individuals from the CDPHE EPRD exercise planning team within 60 days of exercise completion. After Action Conference and Improvement Plan The lessons learned and recommendations from the AAR will be incorporated into an Improvement Plan (IP). The IP identifies how recommendations will be addressed, including what actions will be taken, who is responsible, and the timeline for completion. It is created by key stakeholders from the POD Squad participating agencies during the After Action Conference. The After Action Conference is a forum for jurisdiction officials to hear the results of the evaluation analysis, validate the findings and recommendations in the draft AAR, and begin development of the IP. 15

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN APPENDICES Appendix A: Exercise Scenario Appendix B: POD Site Map Appendix C: Participating Agencies Appendix D: Player Handbook 1. Communications Plans for November 15, 16, and 17, 2007 2. JIC Protocol 3. SNS asset request protocol/form 4. SNS Inventory Transfer Form (RTP to PODs) 5. SNS Chain-of-Custody Form (RTPs to PODs) 6. 2007-2008 Influenza Vaccine information 7. Dosage Administration & Storage of Influenza Vaccine 8. Influenza Vaccine Dosage FAQs 9. Persons Who Should not be Vaccinated guidance 10. Large Scale Influenza Vaccine POD site guidance / tips 11. Utilizing Nursing Students for Mass Immunization Operations Exercises 12. List of EXPLAN Acronyms 13. Information that May Be Requested from Exercise Players during POD Squad 16

2007 Colorado Full Scale Mass Vaccination Exercise - POD Squad - EXPLAN Appendix A: Exercise Scenario March August 2007 In March 2007, the first wave of a severe influenza pandemic reached the United States. The pandemic has overwhelmed and altered healthcare, business, and government systems, which are working around the clock to recover communities worldwide. Public health experts and the media are comparing this pandemic to that of the 1918 flu pandemic. On a national level, 9,000,000 people in the United States are infected with the disease, and to date, 190,300 citizens have died. Colorado healthcare systems have reported 50,000 have been hospitalized during this first wave. Since influenza is a respiratory disease, overwhelming demand for respiratory therapists, ventilators, hospital beds and primary outpatient care has depleted medical resources. The Colorado Department of Public Health and Environment Vital Records Office reports 2,950 fatalities from February July 2007. International Health Regulations, developed in 2005, facilitated reporting and sampling of the disease, which originated in Asia and mutated over time. From these samples, vaccine research and development has been conducted, particularly to find a vaccine that would protect the public from deadly strains. Vaccine development has been ongoing in the United States for the past three years, as well as researching mutations of the disease. Surveillance by epidemiologists and astute medical practitioners first identified the disease in Colorado in April 2006. Colorado was one of the first states hit with pandemic influenza in the lower 48 states. The Colorado Health Emergency Line for Public Information (COHELP) has also assisted with surveillance activities as well as serving as a call center statewide for the general public to call with questions or concerns about the pandemic. Hospital response plans were implemented, isolating sick individuals. Newly revised triaging guidelines have been implemented to help keep less ill patients out of the hospital by moving these patients to alternate care facilities throughout the state. Emergency Management has worked tirelessly to coordinate multiple disciplines to respond to the devastation. The Colorado Multi-Agency Coordinating Center (MACC) and the CDPHE DOC have been activated, as well as many local Emergency Operation Centers (EOCs). The media has covered the changing faces of Colorado communities as they lose loved ones and have been providing information to the public about measures individuals and families can take to avoid the spread of disease. Since healthcare systems are overwhelmed, many families are caring for loved ones at home. Morticians and funeral directors have altered the services they provide in order to meet the growing demand. Coroners have implemented mass fatality plans. In June 2007, public health officials in many states initiated work quarantine for many healthcare workers to lessen the spread of disease. Containment and control measures (such as school closures and cancellation of public events) were also implemented by public health officials to slow the spread of disease. Respiratory hygiene guidelines and social distancing concepts for families and employers are heard on the radio around the clock. These actions have in fact slowed the rate of spread of disease in Colorado, which was projected to create much higher morbidity and mortality rates. However, these decisions were notably unpopular and contested by many members of the general public. The economic impacts of this pandemic have been devastating. Businesses are reporting a 30% absenteeism rate due to 17